Transforming Care Together: A Collaborative Approach to COSTED

Calderdale and Huddersfield NHS Foundation Trust successfully expanded its in-house tobacco dependency service into the Emergency Department, utilising the COSTED framework and the Swap to Stop scheme. This innovative approach integrates immediate, patient-centred support for tobacco dependency at a critical intervention point, improving outcomes and reducing smoking-related harm. By embedding this service, we’ve demonstrated how collaboration, efficiency, and sustainability can deliver impactful, high-quality care while addressing health inequalities. This initiative serves as an example of good practice, showcasing how integrated pathways and evidence-based interventions can transform services to meet the Long Term Plan priorities.